Provider Demographics
NPI:1699815373
Name:DEMONT, PEGGY (LCADC)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:
Last Name:DEMONT
Suffix:
Gender:F
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503-1604
Mailing Address - Country:US
Mailing Address - Phone:570-358-6100
Mailing Address - Fax:570-706-2744
Practice Address - Street 1:320 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1604
Practice Address - Country:US
Practice Address - Phone:570-348-6100
Practice Address - Fax:570-706-2744
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)